Current evidence is insufficient to resolve all questions regarding supplemental oxygen use for positive-pressure ventilation during neonatal resuscitation:
a. The Neonatal Resuscitation Program recommends use of 100% supplemental oxygen when positive-pressure ventilation is required during neonatal resuscitation.
b. However, research suggests that resuscitation with something less than 100% may be just as successful.
c. If resuscitation is started with room air, supplemental oxygen, up to 100%, should be administered if there is no appreciable improvement within 90 seconds following birth.
d. If supplemental oxygen is unavailable, use room air to deliver positive-pressure ventilation.